Individual
SOPHIA DELORISE NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN 059343
Contact information
Practice address
2701 TREES OF KENNESAW PKWY NW, KENNESAW, GA 30152-8223
(404) 491-5190
Mailing address
2701 TREES OF KENNESAW PKWY NW, KENNESAW, GA 30152-8223
(404) 491-5190
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
059343
GA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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